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Healthcare Utilization Patterns Among Children With a History of Child Protective Services Investigations.
Violence and Victims ( IF 1.1 ) Pub Date : 2020-12-01 , DOI: 10.1891/vv-d-19-00122
Christian L Carr 1 , Jill McLeigh 2 , Heidi Roman 3 , Jessica B Fults 3 , Jennifer Reingle Gonzalez 2 , Corron Sanders 4 , Michiko Otsuki Clutter 2 , Ray Tsai 4 , Katelyn K Jetelina 3
Affiliation  

PURPOSE Examine whether children with a prior child protective services (CPS) investigation had different healthcare utilization compared to children without a history of CPS investigations. METHODS The Children's Health Assessment and Planning Survey assessed 6,492 primary caregivers of children ages 0-17 years residing in North Texas in 2015. Caregivers reported prior CPS investigations and child healthcare utilization (emergency department [ED] use, unmet medication needs, and unmet medical care needs). PRINCIPLE FINDINGS A total of 408 (5%) caregivers reported their child had a CPS investigation. Children with CPS investigations had greater odds of visiting the ED (OR = 1.9; 95% CI: 1.4, 2.5) and not receiving necessary medical care (OR = 1.9; 95% CI: 1.4, 2.8) compared to children without a CPS investigation. CONCLUSIONS Prior CPS investigation was associated with disparities in receipt of necessary medical care and ED utilization for children.

中文翻译:

具有儿童保护服务调查历史的儿童中的医疗保健使用模式。

目的检查与没有进行过CPS调查的儿童相比,事先进行过儿童保护服务(CPS)调查的儿童是否具有不同的医疗保健利用率。方法《儿童健康评估和计划调查》评估了2015年居住在北德克萨斯州的6492名0-17岁儿童的主要看护者。看护者报告了先前的CPS调查和儿童医疗利用情况(紧急部门[ED]使用,未满足的药物需求和未满足的医疗要求护理需求)。原则发现共有408名(5%)照顾者报告他们的孩子进行了CPS检查。与没有进行CPS检查的孩子相比,进行过CPS检查的孩子去急诊就诊的可能性更大(OR = 1.9; 95%CI:1.4、2.5)并且没有得到必要的医疗护理(OR = 1.9; 95%CI:1.4、2.8)。 。
更新日期:2020-12-01
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